MARK WILLAM BANTZ

SOUTH BEND, IN
NPI1699919183
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  7086)
Enumeration Date2009-04-28
Last Update Date2009-04-28
Business Address
Dr. MARK WILLAM BANTZ DDS
820 E COLFAX AVE
SOUTH BEND, IN 46617-2804
Phone number: 574-234-4117
Mailing Address
Dr. MARK WILLAM BANTZ DDS
820 E COLFAX AVE
SOUTH BEND, IN 46617-2804
Phone number: 574-234-4117
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